Active NPI
Walgreens
- Community/Behavioral Health Agency
- Lutz, FL
National Provider Identifier
1023403417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- PS53078
- Legal business name
- WALGREENS
- Practice address
- 25201 Wesley Chapel Blvd
Lutz, FL 33559-7201 - Phone
- (813) 453-6582
- NPI assigned
- Apr 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terrence Collins
- Title
- District Manager
- Phone
- (813) 621-6041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | PS53078 | FL | Primary |
Addresses
Primary practice location
25201 Wesley Chapel Blvd
Lutz, FL 33559-7201
Mailing address
2004 Oak Isle CT
Valrico, FL 33594-6758
Phone (813) 453-6582
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Valrico, FL
- NPI 1689173205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427846400000",
"number": "1023403417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 OAK ISLE CT",
"city": "VALRICO",
"state": "FL",
"postal_code": "335946758",
"telephone_number": "813-453-6582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25201 WESLEY CHAPEL BLVD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335597201",
"telephone_number": "813-453-6582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-01",
"last_updated": "2015-04-01",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "TERRENCE",
"authorized_official_title_or_position": "DISTRICT MANAGER",
"authorized_official_telephone_number": "813-621-6041"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "PS53078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.